Towards a conceptual evaluation of transience in relation to palliative care.

Details

Serval ID
serval:BIB_C4A5A10F1BFB
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Towards a conceptual evaluation of transience in relation to palliative care.
Journal
Journal of advanced nursing
Author(s)
Larkin P.J., Dierckx de Casterlé B., Schotsmans P.
ISSN
0309-2402 (Print)
ISSN-L
0309-2402
Publication state
Published
Issued date
07/2007
Peer-reviewed
Oui
Volume
59
Number
1
Pages
86-96
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
This paper is a report of a concept evaluation of transience and its relevance to palliative care.
A qualitative study into palliative care patients' experiences of transition revealed a gap between current definitions of transition and their expression of the palliative care experience. Transience appears to offer a better definition but remains conceptually weak, with limited definition in a healthcare context.
A qualitative conceptual evaluation of transience was undertaken using two case examples, interview data and the literature. Multiple sources were used to identify the literature (1966-2006), including a search on Cumulative Index to Nursing and Allied Health Literature Medline, and Ovid and Arts and Humanities Index using the keywords 'transience' and 'palliative care'. Thirty-one papers related to transience were retrieved. Analysis and synthesis formulated a theoretical definition of transience relative to palliative care.
Transience is a nascent concept. Preconditions and outcomes of transience appear contextually dependent, which may inhibit its conceptual development. Transience depicts a fragile emotional state related to sudden change and uncertainty at end-of-life, exhibited as a feeling of stasis. Defining attributes would seem to include fragility, suddenness, powerlessness, impermanence, time, space, uncertainty, separation and homelessness.
Transience is potentially more meaningful for palliative care in understanding the impact of end-of-life experiences for patients than current conceptualizations of transition as a process towards resolution. As a nascent concept, it remains strongly encapsulated within a framework of transition and further conceptual development is needed to enhance its maturity and refinement.
Keywords
Attitude to Death, Attitude to Health, Existentialism/psychology, Female, Health Services Needs and Demand, Hospices/standards, Humans, Male, Middle Aged, Palliative Care/psychology, Quality of Life/psychology, Terminally Ill/psychology
Pubmed
Web of science
Create date
13/02/2019 14:59
Last modification date
20/08/2019 15:40
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